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Dermatologists Salary in Washington: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Dermatologists salary really buy you in Washington?

Washington is 9.8% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$526,170
Median annual (2025)
-8.9%
Real Purchasing Power
$479,207
COL-adjusted (RPP=109.8)

Washington Cost of Living Index

Washington's Regional Price Parity (RPP) is 109.8, meaning prices are 9.8% higher the national average. A Dermatologists earning $526,170 in Washington has the equivalent purchasing power of $479,207 in an average-cost US state.

WA: 109.8
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Washington's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $98,650 $89,845 $-8,804
25th Percentile (P25) $132,020 $120,236 $-11,783
Median (P50) $526,170 $479,207 $-46,962
75th Percentile (P75) $548,050 $499,134 $-48,915
90th Percentile (P90) $672,840 $612,786 $-60,053
Key Insight

While $526,170 sounds high, Washington's elevated cost of living erases 9% of that salary's purchasing power. Your real buying power is $479,207. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Washington Is a High-Cost State

RPP 109.8

Washington's RPP of 109.8 puts it 9.8% above the national baseline cost of living. A Dermatologists needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-8.9%

After applying Washington's RPP, the $526,170 median salary translates to $479,208 in real terms — a 8.9% loss. That difference can cover several months of expenses over a year for a Dermatologists.

Top-Quartile Adjusted Earnings in Washington

#5 / 26

Ranked on COL-adjusted median pay for Dermatologists, Washington places #5 of 26 states — top quartile. Either nominal wages run high, cost of living runs low, or both.

Best States for Dermatologists (After Cost of Living)

Where does Dermatologists salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$640,522
RPP 97.7
$487,367
RPP 86.6
3. Iowa
$480,735
RPP 88.4
$479,767
RPP 107.6
$479,207
RPP 109.8
$477,475
RPP 92.3
$472,363
RPP 91.8
$451,142
RPP 98.0
9. Alabama
$449,373
RPP 87.8
10. Michigan
$444,229
RPP 93.4

Washington ranks #5 out of 26 states for Dermatologists after cost-of-living adjustment.

How much do you actually take home? See Dermatologists take-home pay in Washington after taxes →

Frequently Asked Questions

What is the real salary for a Dermatologists in Washington after cost of living?

A Dermatologists in Washington earns a median salary of $526,170 per year. After adjusting for Washington's cost of living (RPP=109.8), the real purchasing power is $479,207 — a -8.9% difference.

Is Washington expensive to live in?

Washington's cost of living is 9.8% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Washington is 109.8 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Dermatologists in Washington: $526,170 x (100 / 109.8) = $479,207. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Washington offset the salary?

Partially — a Dermatologists's nominal salary of $526,170 in Washington has 8.9% less purchasing power due to higher living costs. The real value is $479,207. However, Washington may offer better career opportunities, networking, and industry access.

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